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STATE FD NUMBER 000001798007 <br /> APPLICATION FOR PERMIT TO OPERATE UNDERGROUND STORAGE TANK <br /> ( ) <br /> 01 NEW PERMIT ( ) 05 RENEWED PERMIT ( ) 07 TANK CLOSED ) 09 DELETE FROM FILE (NO FEE) <br /> '; <br /> ) 02 CONDITIONAL PERMIT ( T 06 AMENDED PERMIT ( ) 08 MI CHANGE (NO SURCHAR ) <br /> I OWNER <br /> NAME(CORPORATION,INDIVIDUAL OR PUBLIC AGENCY) PUBLIC AGENCY ONLY <br /> LONE STAR INDUSTRIES, INC. ( l 01 FED t ) 02 STATE t ) 03 LOCAL <br /> STREET ADDRESS CITY STATET94566 <br /> IF <br /> 11555 DUBLIN CANYON ROAD PLEASANTON CA <br /> II FACILITY <br /> FACILIT`! NAME DEALER/FOREMAN/SUPERVISOR <br /> KERLINGER ASPHALT PLANT L.W. JARVEY <br /> STREET ADDRESS NEAREST CROSS STREET <br /> 30350 SOUTH TRACY BLVD. LINNE ROAD; <br /> CITY COUNTY ZIP <br /> TRACY SAN JOAQUIN 95376 <br /> MAILING ADDRESS CITY STATE FSP <br /> 30350 SOUTH TRACY BLVD TRACY CA 95376 <br /> PHONE W/AREA CODE TYPE OF BUSINESS <br /> 209-835-2454 t ) 01 GASOLINE STATION tXD 02 OTHER ROCK PLANT <br /> NUMBER OF CONTAINERS RURAL AREAS ONLY TOWNSHIP RANGE SECTION <br /> 7 <br /> III 24 HOUR EMERGENCY CONTACT PERSON <br /> DAYS: NAME LAST NAME FIRST) AND PHONE W/AREA CODE NIGHTS: NAME(LAST NAME FIRST) AND PHONE W/AREA CODE <br /> JARVEYi L.W. 209-835-1454 JARVEY: L.W. 209-835-0422 <br /> COMPLETE THE FOLLOWING ON A SEPARATE FORM FOR EACH CONTAINER <br /> IV DESCRIPTION <br /> A. (X) 01 TANK ( ) 04 OTHER- CONTAINER NUMBER <br /> B. MANUFACTURER (IF APPROPiRIATE): YEAR MFG: Fc. YEAR INSTALLED 1955 f } UNKNOWN <br /> D. CONTAINER CAPACITY: c12J 00 GALLONS t D UNKNOWN E. DOES THE CONTAINER STORE: ( ) 01 WASTE (X) 02 PRODUCT <br /> F. DOES THE CONTAINER STORE MOTOR VEHICLE FUEL OR WASTE OIL ? ( ),01 YES ' (X) 02 NO IF YES CHECK APPROPRIATEBOX(ES): <br /> t ) 01 UNLEADED ( ) 02 REGULAR ( ) 0 PREMIUM ( l 04 DIESEL { D 05 WASTE OIL t ) 06 OTHER <br /> V CONTAINER CONSTRUCTION <br /> A. THICKNESS OF PRIMARY CONTAINMENT: 0.25 ( ) GAUGE (X) INCHES t l CM ( ) UNKNOWN <br /> B. ( ) 01 VAULTED (LOCATED IN AN UNDERGROUND VAULT) t ) 02 NON-VAULTED (X) 03 UNKNOWN <br /> C. ( ) 01 DOUBLE WALLED t ) 02 SINGLE WALLED t } 03 LINED <br /> D. (X) 01 CARBON STEEL { i 02 STAINLESS STEEL ( D 03 FIBERGLASS ( l 04 POLYVINYL CHLORIDE t D 05 CONCRETE <br /> ( ) 06 ALUMINUM t } 07 STEEL CLAD ( ) 08 BRONZE ( D 09 COMPOSITE ( } 10 NON'-METALLIC <br /> t ) 12 UNKNOWN ( ) 13 OTHER <br /> HSC,04-070185 (10/18/85) PAGE 1 <br />